Vermont
#48 in Medicaid spending (0.27% of national total)
Total Spending
$2.97B
Total Claims
26.8M
Providers
1,796
Avg Cost/Claim
$111
Data Coverage Note: Vermont has 100% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims. Actual total Medicaid spending in Vermont is significantly higher than shown.
Enrollment (Latest)
172K
Managed Care
100%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$2,715
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
HOWARD CENTER INC Clinic/Center | $332.2M |
NORTHEAST KINGDOM HUMAN SERVICES INC DS WAIVER Clinic/Center | $204.8M |
WASHINGTON COUNTY MENTAL HEALTH SERVICES, INC. Day Training, Developmentally Disabled Services | $145.0M |
HEALTH CARE & REHABILITATION SERVICES Clinic/Center | $136.1M |
HOWARD CENTER INC Community Based Residential Treatment Facility, Mental Illness | $130.1M |
NORTHWESTERN COUNSELING & SUPPORT SERVICES Public Health or Welfare | $129.7M |
RUTLAND MENTAL HEALTH SERVICES Community/Behavioral Health | $122.1M |
VERMONT DEPARTMENT OF MENTAL HEALTH Clinic/Center | $105.1M |
WASHINGTON COUNTY MENTAL HEALTH SERVICES, INC. Counselor | $99.4M |
HABIT OPCO, LLC Clinic/Center | $93.2M |
UNITED COUNSELING SERVICE OF BENNINGTON COUNTY, INC. Day Training, Developmentally Disabled Services | $72.5M |
NORTHWESTERN COUNSELING & SUPPORT SERVICES INC Clinic/Center | $70.4M |
SPECIALIZED COMMUNITY CARE, INC Case Management | $60.9M |
COUNSELING SERVICE OF ADDISON COUNTY Clinic/Center | $59.6M |
LAMOILLE COUNTY HEALTH MENTAL HEALTH SERVICES Clinic/Center | $42.7M |
COMMUNITY HEALTH CENTERS OF BURLINGTON INC Clinic/Center | $39.7M |
HOWARD CENTER INC Clinic/Center | $35.0M |
NFI VERMONT, INC Community/Behavioral Health | $33.6M |
OAS, LLC Substance Abuse Rehabilitation Facility | $30.6M |
VERMONT PERMANENCY INITIATIVE, INC. Community/Behavioral Health | $27.9M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| 99199 | Unlisted special svc px/rprt | $955.2M |
| H2022 | Com wrap-around sv, per diem | $498.0M |
| T1015 | Clinic service | $233.8M |
| H2015 | Comp comm supp svc, 15 min | $135.5M |
| H0020 | Alcohol and/or drug services | $122.6M |
| H2017 | Psysoc rehab svc, per 15 min | $116.0M |
| 90837 | Psytx w pt 60 minutes | $96.1M |
| H0023 | Alcohol and/or drug outreach | $87.0M |
| T1024 | Team evaluation & management | $59.0M |
| H2020 | Ther behav svc, per diem | $49.2M |
| 99214 | Office o/p est mod 30 min | $47.2M |
| H0046 | Mental health service, nos | $40.2M |
| H0019 | Alcohol and/or drug services | $39.4M |
| H0018 | Alcohol and/or drug services | $33.5M |
| G2067 | Med assist tx meth wk | $32.6M |
| 99213 | Office o/p est low 20 min | $28.3M |
| T1020 | Personal care ser per diem | $19.6M |
| A0429 | Bls-emergency | $14.8M |
| A0427 | Als1-emergency | $12.8M |
| 80307 | Drug test prsmv chem anlyzr | $11.9M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $1.38B | 162 |
| Community/Behavioral Health | $232.4M | 15 |
| Day Training, Developmentally Disabled Services | $229.9M | 6 |
| Counselor | $175.4M | 356 |
| Public Health or Welfare | $168.1M | 10 |
| Community Based Residential Treatment Facility, Mental Illness | $139.0M | 2 |
| Case Management | $78.2M | 11 |
| Family Medicine | $77.0M | 57 |
| Dentist | $63.6M | 159 |
| Case Manager/Care Coordinator | $43.2M | 2 |
| Substance Abuse Rehabilitation Facility | $40.9M | 2 |
| Social Worker | $40.7M | 163 |
| Ambulance | $40.3M | 59 |
| Psychologist | $32.8M | 112 |
| Speech-Language Pathologist | $22.4M | 20 |
| Durable Medical Equipment & Medical Supplies | $20.8M | 45 |
| Intermediate Care Facility, Intellectual Disabilities | $17.7M | 1 |
| Transplant Surgery | $17.6M | 1 |
| Clinical Medical Laboratory | $15.6M | 3 |
| Optometrist | $13.1M | 59 |